New Customer Reservation
Please fill in the information below and click the Submit button. If you have multiple pets, please make a separate reservation for each.
We also take reservations by phone at
(540) 667-7809.
Customer Information
Your Name:
First
Last
Address:
City / State / ZIP:
AL
AK
AZ
AR
CA
CO
CT
DC
DE
FL
GA
HI
ID
IL
IN
IA
KS
KY
LA
ME
MD
MA
MI
MN
MS
MO
MT
NE
NV
NH
NJ
NM
NY
NC
ND
OH
OK
OR
PA
RI
SC
SD
TN
TX
UT
VT
VA
WA
WV
WI
WY
Phone Numbers:
Home
Work
Cell
E-mail Address:
Pet Information
Your Pet's Name:
Type of Animal:
Select One
Dog
Cat
Bird
Other / Exotic
Approximate Age:
Sex:
Male
Female
Spayed / Neutered?
Yes
No
Breed, if known:
Color:
Weight:
pounds
Food Selection:
Customer's food
Our food
Special Diet
Feeding Times
& Instructions:
Vet / Clinic Name:
Reservation & Services
Check-In Date:
Check-Out Date:
Business Hours:
M - F
Sat
Sun
8 AM - 5 PM
8 AM - 12 noon
9 AM - 11 AM
Pickup / Deliver:
(Extra Charge)
None
Pick Up Only
Deliver Only
Pick Up and Deliver
Services Desired
(check all that apply):
Boarding -
(Call for daily rates or long-term and multi-pet discounts)
Grooming -
(Grooming services are available for an extra charge)
Complete Groom & Pamper
(includes all services below)
Bath
Bath and Brush
Clip and Groom
Clip Toenails
Ear Cleaning
Teeth Cleaning
Express Glands
Pamper & Picture Day
Training -
(Training services are available for an extra charge)
Basic Obedience
Basic Obedience Tune-Up
Extended Obedience
Agility Training
Assistance Training
Protection Training
Behavior Modification
Other
Details on specific training needs or problems:
Extra Services:
Private Swimming Pool
(summer only)
Nature Walk
Pizza Party
Agility Course Run
Daily Brushing
A Pig Ear a Day
Holiday Dinner
(Thanksgiving & Christmas only)
Photo Studio Visit
Play Time:
Once Daily
Twice Daily
Every Other Day
Any medications?
Yes
No
If yes, give names of medications, dosage, AM or PM, any other info:
Schedule Medical Services?
Yes
No
If yes, describe requested medical services:
